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TOWN OF PAH RUMP FIELD ALLOCATION FORM Organization: AMERICAN YOUTH SOCCER ORG DaW 06/03/202 1 ContactName: ROSALEE CLASEN Cell Number: [PHONE REDACTED] Email: [EMAIL REDACTED] Number of Participants / Teams using 200 The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Pork Fee is $25 PER month, PERfield. 2. A Security Deposit of$300 3. Liability insurance Naming Town of Pahrump as the Additionally Insured. LI Petrack Park: Fields:A[j BE cLI Months: Days: Times: Ian Deutch Memorial Park: Fields: 1 L 2 3 AUGUST thru FEBRUARY Months: MON-FRIDAY and SAT Days: LI Simkins Park: Field: InfieldL Months: Days: Times: ADDITIONAL REQUESTS: Town of Pahrump 2100 . Walt Williams Dr., Suite p100 [PHONE REDACTED] Pahrump, NV 89048 Outfield - 4[1 5-9 M-F 8-12:00 SAT Times: ---PAGE BREAK--- TOWN OF PAHRUMP FIELD ALLOCATION FORM Organization: Red Ridge Schutzhund Club Date: 6/10/2021 Contact Name: Jeanine Tucker or David Rivisto [PHONE REDACTED] for Jeanine [PHONE REDACTED] for David Cell Number: Email: [EMAIL REDACTED] Number of Participants / Teams using fields:30 participants The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of $300. 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. I.?i Petrack Park: Fields: A B LI c F1 June-December 2021 Months: Fridays and Saturdays Fridays 6PM-2AM; Saturdays 6AM-Noon Days: Times: LI Ian Deutch Memorial Park: Fields: 1 _LI 2 LI 4 LI Months: Days: Times: Simkins Park: Field: Infield LI Outfield LI As always, if Petrack Park is not available, we are happy to have Simkins Park Months: Days: Times: ADDITIONAL REQUESTS: Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 [PHONE REDACTED] Pahrump, NV 89048 ---PAGE BREAK--- TOWN OF PAH RUMP FIELD ALLOCATION FORM Petrack Park: Ficlds:AE BLI cLI Months: Days: Times: Ian Deutch Memorial Park: Fields: 1 2 LI El Months: Days: Times: C] Simkins Park: Field: Infield El Outfield AugustSeptember October,November Months: Monday thru Friday Days: Times: ADDITIONAL REQUESTS: Town of Pahrump 2100 E. Walt Williams Dr., Suite 4*100 Pahrump, NV 89048 [PHONE REDACTED] Pahrump Valley Youth Sports Date 06/11/2021 Organization: Contact Name: Lloyd Peugh [PHONE REDACTED] Cell Number: Email: pahrump youth [EMAIL REDACTED] Number of Participants / Teams using fields: teams The following is required and MUST be turned into the Town of Pahrump to maintain your reservation. 1. The Park Fee is $25 PER month, PER field. 2. A Security Deposit of $300. 3. Liability Insurance Naming Town of Pahrump as the Additionally Insured. 4fl 4 PM to 9 PM